Bleeding Esophageal Varices and Portal Hypertension from Splenic Arteriovenous Fistula
Author Information
Author(s): Moshe Shleapnik, Baruch Shpitz, Annette Siegal, Alex Dinbar
Primary Institution: Meir General Hospital and Tel Aviv University Sackler Faculty of Medicine
Hypothesis
Splenic arteriovenous fistula is a rare but curable cause of portal hypertension.
Conclusion
The patient with splenic arteriovenous fistula was successfully treated, leading to a satisfactory outcome.
Supporting Evidence
- The patient presented with bleeding esophageal varices and ascites.
- Selective catheterization of the celiac and superior mesenteric artery is important for diagnosis.
- Sclerotherapy was initially attempted but failed, leading to surgical intervention.
Takeaway
A woman had a rare condition that caused her to bleed from her stomach, but doctors found and fixed the problem, so she got better.
Methodology
The case involved diagnostic imaging, surgical intervention, and follow-up assessments.
Limitations
The study is based on a single case report, which may limit the generalizability of the findings.
Participant Demographics
A 64-year-old multiparous woman.
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